Evidence map›Paper›PMID 37282505›Full record

Observational studyClinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis

Edoxaban Versus Low-Molecular-Weight Heparin in Hospitalized COVID-19 Patients With Atrial Fibrillation.

Pável Olivera, César Velásquez-Escandón, Desirée Campoy, Katia Flores, Tania Canals, Erik Johansson, María José Herranz, Laia Martínez, Juan José Cerezo-Manchado, Ramón Salinas

Open access · goldAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Pável OliveraThrombosis and Hemostasis Unit, Department of Hematology, Vall d'Hebron University Hospital, Barcelona, Spain.ORCID 0000-0002-5328-9034
César Velásquez-EscandónDepartment of Hematology, Fundación Sanitària Mollet, Barcelona, Spain.
Desirée CampoyThrombosis and Hemostasis Unit, Department of Hematology, Vall d'Hebron University Hospital, Barcelona, Spain.
Katia FloresDepartment of Hematology, General University Hospital of Catalonia, Barcelona, Spain.
Tania CanalsDepartment of Hematology, University Hospital Sant Joan de Reus, Tarragona, Spain.
Erik JohanssonDepartment of Hematology, General University Hospital of Catalonia, Barcelona, Spain.
María José HerranzDepartment of Hematology, Hospital Sant Pau I Santa Tecla, Tarragona, Spain.
Laia MartínezDepartment of Hematology, University Hospital Sant Joan de Reus, Tarragona, Spain.
Juan José Cerezo-ManchadoDepartment of Hematology, University Hospital Clínico Santa Lucía, Cartagena, Spain.
Ramón SalinasDepartment of Hematology, University Hospital Sagrat Cor, Barcelona, Spain.
Hospital Universitari Sant Joan de Reus · ESVall d'Hebron Hospital Universitari · ESHospital Sant Pau i Santa Tecla · ESHospital Universitari Sagrat Cor · ESInstitut de Seguretat Pública de Catalunya · ESSanta Lucía University General Hospital · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDuring the first wave of the SARS-CoV-2 pandemic, management of anticoagulation therapy in hospitalized patients with atrial fibrillation (AF) was simplified to low-molecular-weight heparin (LMWH) followed by oral anticoagulation, mainly owing to the risk of drug-drug interactions. However, not all oral anticoagulants carry the same risk.

methodsObservational, retrospective, and multicenter study that consecutively included hospitalized patients with AF anticoagulated with LMWH followed by oral anticoagulation or edoxaban concomitantly with empirical COVID-19 therapy. Time-to-event (mortality, total bleeds, and admissions to ICU) curves, using an unadjusted Kaplan-Meier method and Cox regression model adjusted for potential confounders were constructed.

resultsA total of 232 patients were included (80.3 ± 7.7 years, 50.0% men, CHA

conclusionsMortality rates, arterial and venous thromboembolic complications, and bleeds did not significantly differ between AF patients receiving anticoagulation therapy with edoxaban or LMWH followed by oral anticoagulation. However, the duration of hospitalization was significantly lower with edoxaban. Edoxaban had a similar therapeutic profile to LMWH followed by oral anticoagulation and may provide additional benefits.

Indexed as

Atrial FibrillationCOVID-19StrokeAnticoagulantsFemaleHemorrhageHeparinHeparin, Low-Molecular-WeightHumansMalePyridinesRetrospective StudiesSARS-CoV-2ThiazolesAnticoagulantsedoxabanHeparinHeparin, Low-Molecular-WeightPyridinesThiazolesatrial fibrillationCOVID-19edoxabanlow-molecular-weight heparin

Identifiers

PMID37282505
PMCPMC10259115
OpenAlexW4379598656

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.